Provider Demographics
NPI:1982974093
Name:OSEI, GRACE EVA (CRNA)
Entity type:Individual
Prefix:MS
First Name:GRACE
Middle Name:EVA
Last Name:OSEI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:GRACE
Other - Middle Name:EVA
Other - Last Name:O'DOWD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:CAMPUS BOX 8054
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-286-1050
Mailing Address - Fax:314-747-5157
Practice Address - Street 1:12634 OLIVE BLVD
Practice Address - Street 2:CAMPUS BOX 8054
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6337
Practice Address - Country:US
Practice Address - Phone:314-286-1050
Practice Address - Fax:314-747-5157
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011040817367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered